Obstetric Tab

 

The Obstetrics module is used to store an obstetric history and details of antenatal visits for each pregnancy, and is available to female and gender-neutral patients who are 15 years or older (this age minimum can be adjusted via Clinical Options).

The obstetrics display is split into two sections, with the upper displaying information about the patient's pregnancies, and the lower a record of the antenatal visits for the selected pregnancy.


Buttons on the Obstetrics tab

If the patient is not flagged as being pregnant, clicking this button starts a new pregnancy record. This button is disabled for patients already flagged as pregnant.

If a patient is flagged as pregnant, clicking this button adds a new antenatal visit for the current pregnancy.

Clicking this button ends the current pregnancy. You are prompted to enter the details of the birth.

Allows you to enter the details of the patient's past pregnancies.

Allows you to enter the results  of routine antenatal investigations for the current pregnancy.

Allows you to open the Parity window and enter Parity details, such as Gravida, Parity, Miscarriages and TOP (Termination of Pregnancy).

This button is only available for practitioners in South Australia and provides a way to easily printing copies of Screening results on pre-printed stationary for the South Australian Maternal Serum Antenatal Screening Program.

 

 

Columns on the Obstetrics tab

Pregnancy

The number of the pregnancy (as recorded in MedicalDirector Clinical). This number is auto-incremented as new pregnancies are added.

LNMP

Last Normal Menstrual Period. This captures the date the LNMP began.

EDC  

Estimated Date of Confinement. This is calculated from the LNMP.

EDC By Scan    

Estimated Date of Confinement, via ultrasound scan.

Pregnancy Outcome

Options include 'Single Live Birth', 'Induced Abortion', Ectopic Pregnancy' and so forth.

Method of Delivery

Options include 'Caesarian Section', 'Vaginal Forceps' and so forth.

Date

Child's date of birth.

Gest

The gestational age of the pregnancy.

BWeight

The child's weight at birth

Name   

The child's name.

Gender

The child's gender.

Feed

Bottle or breast-fed.

1st Test, 1st Hb, 1st Abs, Urine, Rubella, 2nd Test, 2nd Hb, 2nd Abs, 3rd Test, 3rd Hb, 3rd Abs, Syph, Hep B, Hep C, HIV, CMV

Values entered via the Pathology Results.

 

 

Antenatal Columns on the Obstetrics tab

Date

The date of the mother's visit.

Weight  

The mother's weight at that visit.

BP

Blood Pressure.

Urine

Free-text to capture the result of a urine test. For example: NAD (No Abnormality Detected) or Blood + or Prot ++.

Oedema

Free-text to capture whether or not oedema is present.

Calc.

The gestational age based on the calculation from LNMP.

Clin.

The gestation age based on the size of the uterus.

Fundal Ht

The number of centimetres from the pubic bone over the protruding baby bump to the top of the uterus.

Foetal Heart

Foetal heart rate.

This is a free-text field. As it is not possible to associate heart rates to multiple babies (in the case of twins for example) entering multiple heart rates simultaneously (such as 150+170) is acceptable. Simply writing 'Heart Rate- Present' is also accepted.

Presentation

Baby's orientation (e.g. cephalic, breech).

Comment

Free- text.